PLEXIS Healthcare Systems provides the best healthcare claims processing software on the market
For the past 20 years, PLEXIS has collaborated with payers in all principal healthcare markets to deploy the best healthcare claims processing software for your financial, clinical, administrative, and technological needs. From TPAs to health plans, both domestic and international healthcare payer organizations understand that an effective platform software solution must deliver:
- Automated efficiency to reduce costs and process claims accurately
- Next-generation healthcare business models to remain competitive in everything from evolving health exchanges to new care management initiatives
- Proactive member + provider engagement to create 5-star customer experiences
- Modern technological standards and award-winning health insurance software
PLEXIS’ claims processing software has the capabilities to achieve your highest business outcomes
PLEXIS is a trusted leader in the global healthcare payer community with an average client tenure of over 8 years. Our agile claims processing software delivers cost savings through automated enterprise efficiencies. Numerous client testimonials attest to the unique competitive advantage of implementing our scalable claims processing solution.
Learn more about the additional benefits of PLEXIS’ claims processing solution, including:
- Application interface connectivity to connect your entire business ecosystem
- High technological performance from our rules-based engine to deliver exceptional levels of auto-adjudication
- Automated claim editing solutions to increase payment integrity and accelerate adjuciation
- Intelligent alerts and reporting for time-saving, automated business activity monitoring (BAM)
- Cost-saving electronic data interchange (EDI) solutions